For a 29-year-old man with a three-week-old Hawkins Type IV talar neck fracture, intra-operative reduction and fixation were not possible due to soft tissue contractures and severe comminution. A primary talonavicular and subtalar arthrodesis with the use of iliac crest bone graft was performed. Postoperative follow-up at 16 months demonstrated solid fusions, no avascular necrosis of the talus and a functional range of motion at the ankle. He was not capable of returning to his job of roof maintenance.
HawkinsLG. Fractures of the neck of the talusJ Bone Joint Surg52A:991–1002, 1970.
4.
PajendaGVecseiVReddyBHeinzT.Treatment of talar neck fractures: clinical results of 50 patientsJ Foot Ankle Surg39:365–375, 2000.
5.
PtaszekAJ. Immediate tibiocalcaneal arthrodesis with interposition fibular autograft for salvage after talus fracture: a case reportJ Orthop Trauma13:589–592, 1999.
